Provider Demographics
NPI:1356377014
Name:ANDREWS AND JOHNSON, INC
Entity type:Organization
Organization Name:ANDREWS AND JOHNSON, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DEELLA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-785-0344
Mailing Address - Street 1:P.O. BOX 457
Mailing Address - Street 2:
Mailing Address - City:GENESEE
Mailing Address - State:MI
Mailing Address - Zip Code:48437
Mailing Address - Country:US
Mailing Address - Phone:810-785-0344
Mailing Address - Fax:
Practice Address - Street 1:7404 N. BRAY ROAD
Practice Address - Street 2:
Practice Address - City:MT. MORRIS
Practice Address - State:MI
Practice Address - Zip Code:48458
Practice Address - Country:US
Practice Address - Phone:810-686-2198
Practice Address - Fax:810-686-0915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities